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Exploring the incidence, risk factors, nature and monitoring of adult protection alerts
- Authors:
- CAMBRIDGE Paul, et al
- Publisher:
- University of Kent. Tizard Centre
- Publication year:
- 2006
- Pagination:
- 78p., bibliog.
- Place of publication:
- Canterbury
Older people dominate the abuse landscape. Those at greatest risk of abuse are older women, those living in a care home and those who have a long term illness (probably particularly dementia). Some sub-groups are also at risk of abuse from relatives and carers, especially those who co-abuse and those who are highly dependent on their relatives for help or support. Older people with mental health needs were most likely to be referred for multiple types of abuse. People with learning disabilities are much more likely than those in other client groups to have alerts raised about sexual abuse. Where people live determines the characteristics of abuse. The project found a link between location or setting, perpetrator and type of abuse. If a person lives in a care home they are more likely to be abused by a member of staff and experience institutional abuse or neglect; people with learning disabilities may experience sexual abuse. Those living in a domestic setting with others, primarily relatives, tend to be at risk of financial, physical or psychological abuse. Older people living alone are particularly vulnerable to financial abuse by family members or, to a lesser extent, care workers. Out of area clients are different. People from out-of-area, the majority with learning disabilities, tend to experience more multiple abuse and more neglect and discriminatory abuse than within area clients. However, they also appear to receive more robust and effective responses to adult protection alerts. Presence of an adult protection coordinator makes a difference. More adult protection alerts were generated by districts where adult protection coordinators were in place than where they were not. This is not surprising since one of the criteria for deploying adult protection coordinators was the workload in each district. Cases in districts with coordinators were more likely to result in increased monitoring, post-abuse work with the victim and with a vulnerable perpetrator and less likely to result in no further action.
Intimate and personal care with people with learning disabilities
- Editors:
- CARNABY Steven, CAMBRIDGE Paul, (eds.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2006
- Pagination:
- 221p.
- Place of publication:
- London
This guide considers the management and practice of intimate and personal care for people with learning disabilities. It examines in detail aspects of care such as training, ethnicity, sexuality and competence in practice, drawing on the extensive practical experience of the contributors. They discuss important issues including the nature of touch, how physical contact is intended and experienced, carers' duty of care, and risk management. Against the backdrop of a recent government strategy for people with learning disabilities, the book will also explore management considerations of best value, care standards, performance monitoring and inspection.
Comparing local and national service systems in social care Europe: framework and findings from the STEPS anti-discrimination learning disability project
- Authors:
- CAMBRIDGE Paul, ERNST Anne
- Journal article citation:
- European Journal of Social Work, 9(3), September 2006, pp.279-303.
- Publisher:
- Taylor and Francis
This paper outlines the methodology and findings of a cross-national comparison of social care services for people with learning disabilities in Europe, developed from the EU funded STEPS anti-discrimination project. The comparative framework developed for the project is profiled and summary findings are organised into thematic dimensions. Wide variations in service organisation were evident, providing particular challenges for those involved in cross-national research or social work practice. Key variation was evident between local and national systems, the varying impact of generic and specialist community care and the degree of individualisation in services, with various structural, funding and policy barriers to integrated social work and ongoing de-institutionalisation evident. Development priorities for inclusive and anti-discriminatory practice included individual funding and planning, self-advocacy and user involvement in quality management.